Active NPI
Blane Edwin Perry, RPH
- Pharmacist
- Leesville, LA
National Provider Identifier
1538398128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11249
- Practice address
- 1780 S 5TH St
Leesville, LA 71446-5306 - Phone
- (337) 239-4249
- NPI assigned
- Jul 6, 2009
- Last updated
- Jul 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11249 | LA | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 11249 | LA |
Addresses
Primary practice location
1780 S 5TH St
Leesville, LA 71446-5306
Mailing address
585 Herman Smith Rd
Deridder, LA 70634-4442
Phone (337) 463-6823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11249 | LA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246838400000",
"number": "1538398128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 HERMAN SMITH RD",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706344442",
"telephone_number": "337-463-6823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 S 5TH ST",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714465306",
"telephone_number": "337-239-4249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "BLANE",
"middle_name": "EDWIN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-06",
"last_updated": "2009-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "11249",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "LA",
"license": "11249",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesville, LA
- Panoptic PMR LLC
- Tava Joyel Parks, MHS
- Pearson Drugs No. 4, LLC
- Perfectly Polished Day Spa and Salon
- Dena L. Perkins, MASSAGE THERAPIST
- Kylie R Petrey
- Phoenix Rexall Drugs Inc (Phoenix Pharmacy)
- Phoenix Rexall Drugs, Inc Dba Phoenix Home Medical (Phoenix Home Medical)
- Physical Therapy Services of West Louisiana Inc
- Pinecrest Developmental Center (Angelina Drive Community Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.